MEMBACA “KELUHAN FISIK” DARI GANGGUAN JIWA KASUS PASIEN DENGAN DISFONIA DAN DEPRESI

Abstract

Background: Functional dysphonia is a voice disorder without organic abnormalities, often linked to psychological factors, particularly masked depression dominated by somatic symptoms. Physical manifestations such as voice disturbances may represent unrecognized emotional distress. Limited awareness of psychosomatic aspects can result in misdiagnosis and delayed recovery. This study aims to report and analyze functional dysphonia as a somatic manifestation of a moderate depressive episode and evaluate the effectiveness of a multidisciplinary treatment approach. Methods: This literature review explores the relationship between functional dysphonia and depression as a somatic manifestation. Literature was retrieved from PubMed using the keywords “functional dysphonia,” “psychogenic voice disorder,” “depression,” and “somatic symptom of depression.” Publications from 2020 to October 2025 were critically analyzed to identify psychosomatic patterns and effective management strategies. Results: Findings demonstrate a complex interaction between depression, the nervous system, and phonatory function. Chronic stress and sympathetic activation increase laryngeal muscle tension, reduce phonatory efficiency, and aggravate voice disturbance. A multidisciplinary approach combining voice therapy, psychological intervention, and pharmacotherapy significantly improves clinical outcomes. Conclusion: Functional dysphonia may represent a somatic manifestation of masked depression. Comprehensive diagnosis and collaboration among psychiatrists, otolaryngologists, and voice therapists are essential for optimal recovery.